MEDICARE: MRS. GLORIA DENARDI LCSW-R

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	R081707-1	NY
2	1041C0700X	Clinical Social Worker	R081707-01	NY
3	1041S0200X	School Social Worker	049105	NY

General Provider Information

NPI Number	:	1821367012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GLORIA DENARDI LCSW-R

Provider Business Mailing Address
First Line	:	PO BOX 43
Second Line	:
City	:	WAPPINGERS FALLS
State	:	NY
Zip	:	12590-0043
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2345 ROUTE 52 STE F
Second Line	:
City	:	HOPEWELL JUNCTION
State	:	NY
Zip	:	12533-3218
Country	:	US
Telephone Number	:	845-632-1195
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2011
Last Update Date	:	01/30/2026

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